NatRevMD

#161 The Prior Authorization Overhaul: What Your Practice Needs to Know Right Now

• NatRevMD • Episode 161

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0:00 | 9:03

Free Guides Mentioned in This Episode: 

  • 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook 
  • Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ 

Prior authorization has officially changed and medical practices need to act now.

As of January 1, 2026, new CMS prior authorization rules are in effect, including faster Medicare Advantage decision timelines, new prior auth requirements for 17 traditional Medicare services, and a shift away from fax-based workflows toward electronic APIs.

In this episode, we break down the three biggest prior authorization changes for 2026 and share a simple 3-step action plan to help OB/GYN, urgent care, and specialty practices reduce denials and protect cash flow.

👉 Learn how prepared your practice really is. Visit natrevmd.com for free resources and a complimentary billing metric audit.